Showing posts with label History. Show all posts
Showing posts with label History. Show all posts

Famous quotes by Hippocrates


“Let food be thy medicine and medicine be thy food.”

“There are in fact two things, science and opinion; the former begets knowledge, the latter ignorance.” or 
“There are, in effect, two things, to know and to believe one knows; to know is science; to believe one knows is ignorance.” 

The Jewish Community of Kos island

The presence of Jews on the island of Kos dates back to early Christian times. There are a number of references to the Jews of Kos in regard to financial transactions dating back to Roman Times. Throughout the ages Jews fleeing persecution (Spanish Inquisition) and waring factions (Syria, Jordan...) from pretty much the whole of the Mediterranean basin ended up on the island of Kos. The presence of dated graves in the Jewish cemetery attest to the significant presence of a Jewish population up until the Byzantine era. Their presence continues to be strong during the Knights of St John era and the occupation by the Turks from 1522 to 1912.

During the early days of the Italian rule the communities of Rhodes and Kos thrived, excelling in the commerce of cloth and owning one of the biggest and well known banks of the time (The Bank of the Alhantef Brothers). The size of the combined community of the two islands grew to a total of 4.000 individuals. Following the racist laws voted by the Mussolini government in1938 a total of 2.250 Jews fled to the United States of America, Palestine, South Rhodesia in the Belgian Congo, Argentina and generally joined emigrant communities of Jewish Dodecanesean descent. 

After the unconditional surrender of Italy on the 8th of September 1943, English troops took over the island of Kos. In Rhodes although the Germans were outnumbered 7.000 to 30.000 they managed to take control of the island and launched their offensive aiming to conquer the rest of the Dodecanese. On the 3rd of October 1943 they land on Kos with the assistance of massive air support and manage to conquer the island by the 4th of October. The Jews are relentlessly persecuted while their houses are ransacked and looted. On the 23rd of July 1944 all the Jews are assembled along with their meager possessions in the courtroom facing the Lotzia Square. Thanks to the intervention of the Turkish Consul in Rhodes a number of Turkish citizens (39 from Rhodes and 13 from Kos) are released. The Germans confiscate all the belongings of the remaining Jews and transfer them to Auschwitz via Athens. Of the 1767 Jews that were seized only 163 survived, of which 151 from Rhodes and 12 from Kos. Another 10 that were not present in Kos when the population was assembled and sent to Auschwitz, also managed to survive.

In 1947 a certain Eliezer Tarica built a handsome little synagogue at his own expense. It was destroyed during the 1933 earthquake but was soon rebuilt as the community grew in numbers and in wealth following the Asia Minor Disaster (loss of the Greek Turkish war 1919-1922 by the Greeks). the Synagogue is no longer used for religious ceremonies as the Jewish community of Kos was practically wiped out. It has however been restored and is maintained with all religious symbols intact and is now used by the Municipality of Kos mainly for cultural events.





Reference: "Οι Εβραίοι της Κω"  Θεοδόση Ν. Διακογιάννη 
                 (The Jews of Kos by Theodosis N. Diakogiannis)


Elephas tiliensis from the island of Tilos



The excavation of the Chardakio cave that started in 1972 led to the discovery of 15.000 bones belonging to some 45 elephants. The Tilos elephants were relatively small (their height did not exceed 190 cms) being roughly 50% smaller than their cousin the continental Εlephas antiquus (Paleoloxodon). Following years of intensive studies this unique species has taken on the name Elephas tiliensis,  since it has unique characteristics clearly differing from other  species of elephants found in Sicily, Cyprus and Crete.  The dwarf elephants lived isolated on the island of Tilos having presumably colonized the island by way either of Kos-Nisyros or Rhodes although no similar elephants have as of yet been identified on those islands thereby corroborating that thesis. Initially, researchers assumed that two types of elephants were present in the cave but further analysis of the animals' morphology and a number of biometrical studies led to the conclusion that the two skeletal types found corresponded to the male and female of the same species.

The presence of these elephants dates back to 45.000 years Before Present time (BP) until probably 4.000 to 3.500 BP. There are no clear indications as to the reasons for their sudden extinction although it is assumed that a number of factors could have played a role: 1/ climate change leading to a shrinkage of available space 2/ reduction of fertile, flat coastal areas 3/ possible influence of the volcanic eruption of Santorini which would have led to the pollution of all the water by volcanic tuff and the destruction of nearly all the vegetation for at least a year 4/ Possible human presence and therefore hunting of the elephant population. A number of other remains such as the Tilos deer (dating back to 140.000 BP) and some bird bones (that have not yet been studied) have also been found in the cave, but have not been helpful in drawing any conclusions relating to the life of the local elephant population since they precede the Εlephas tiliensis. Furthermore, no conclusive proof of human presence coinciding with that of the elephants has been established, therefore casting some doubt on the theory of human involvement in the extinction of the local elephant population.



Reference: Elephas tiliensis n.sp. from Tilos island (Dodecanese, Greece) by George Theodorou, Nikolaos Symeonidis & Elizabeth Stathopoulou


Aknowledgement: I would like to thank Professor Dr. George E. Theodorou for his help and guidance as well as for providing me with the necessary material to write this post.

The Hippocratic Oath

Hippocratic Oath Kos IslandThe Hippocratic Oath is probably Hippocrates' greatest contribution to Medicine. This text was written some 2.500 years ago by Hippocrates or by some of his followers and has been sworn to for centuries by members of the medical profession. Throughout the ages it has often been altered or adapted but has always remained the basis of all texts pertaining to ethical medicine. One of the most famous texts that was inspired by the Oath is the Declaration of Geneva (first drafted in 1948, and repeatedly amended thereafter) by the World Medical Association. Although today many different versions of the Oath are sworn to by medical students, some universities still use the original.

The Hippocratic Oath establishes that physicians must maintain life, hold their elders in the highest regard, know their limitations, and renounce self interest during the treatment of patients. The views about abortion and surgical practices might seem somewhat outdated in today's world and in many people's minds the relevance of the text is often challenged. Although there are limitations and much is debatable, the Oath's precepts remain eternally modern and it's core value will always be pertinent: the selfless dedication to the preservation of human life. The moral message of the Oath has thus remained resilient throughout the ages and the cultures.

I have added hereafter the original text written in Ionic Greek around the 5th century B.C. as well as a translation of the text in English:

  1. Ὄμνυμι Ἀπόλλωνα ἰητρόν καί Ἀσκληπιόν καί Ὑγείαν και Πανάκειαν καί θεούς πάντας τε και πάσας, ἵστορας ποιεύμενος, ἐπιτελέα ποιήσειν κατά δύναμιν καί κρίσιν ἐμήν ὅρκον τόνδε καί ξυγγραφήν τήνδε.
  2. Ἡγήσεσθαι μέν τόν διδάξαντά με την τέχνην ταύτην ἴσα γενέτῃσιν ἐμοῖσι, καί βίου κοινώσεσθαι, καί χρεῶν χρηίζοντι μετάδοσιν ποιήσεσθαι, καί γένος τό ἐξ αὐτοῦ ἀδελφεοῖς ἴσον ἐπικρινέειν ἄρρεσι, καί διδάξειν τήν τέχνην ταύτην, ἥν χρηίζωσι μανθάνειν, ἄνευ μισθοῦ καί ξυγγραφῆς, παραγγελίης τε καί ἀκροήσιος καί τῆς λοιπῆς ἁπάσης μαθήσιος μετάδοσιν ποιήσασθαι υἱοῖσι καί τοῖσι τοῦ ἐμέ διδάξαντος καί μαθηταῖσι συγγεγραμμένοις τε καί ὡρκισμένοις νόμῳ ἰητρικώ, ἄλλῳ δέ οὐδενί.
  3. Διαιτήμασί τε χρήσομαι ἐπ᾿ ὠφελείῃ καμνόντων κατά δύναμιν καί κρίσιν ἐμήν, ἐπί δηλήσει δέ καί ἀδικίῃ εἴρξειν.
  4. Οὐ δώσω δέ οὐδέ φάρμακον οὐδενί αἰτηθείς θανάσιμον, οὐδέ ὑφηγήσομαι ξυμβουλίην τοιήνδε˙ ὁμοίως δέ οὐδέ γυναικί πεσσόν φθόριον δώσω.
  5. Ἁγνῶς δε καί ὁσίως διατηρήσω βίον τόν ἐμόν καί τέχνην τήν εμήν.
  6. Οὐ τεμέω δε οὐδέν μην λιθιῶντας, ἐκχωρήσω δε ἐργάτῃσιν ἀνδράσιν πρήξιος τῆσδε.
  7. Ἐς οἰκίας δε ὁκόσας ἄν ἐσίω, ἐσελεύσομαι ἐπ᾿ ὠφελείῃ καμνόντων, ἐκτός ἐών πάσης ἀδικίης ἑκουσίης καί φθορίης τῆς τε ἄλλης καί ἀφροδισίων ἔργων ἐπί τε γυναικείων σωμάτων καί ἀνδρείων, ἐλευθέρων τε καί δούλων.
  8. Ἅ δ᾿ ἄν ἐν θεραπείῃ ἤ ίδω ἤ ακούσω, ἤ καί ἄνευ θεραπείης κατά βίον ἀνθρώπων, ἅ μή χρή ποτε ἐκλαλέεσθαι ἔξω, σιγήσομαι, ἄρρητα ἡγεύμενος εἶναι τά τοιαῦτα.
  9. Ὅρκον μέν οὖν μοι τόνδε ἐπιτελέα ποιέοντι καί μή ξυγχέοντι εἴη ἐπαύρασθαι καί βίου καί τέχνης, δοξαζομένῳ παρά πᾶσιν ἀνθρώποις ἐς τόν αἰεί χρόνον˙ παραβαίνοντι δέ καί ἐπιορκέοντι, τἀναντία τουτέων.

Translation in English:

  1. I swear by Apollo, the healer, Asclepius, Hygieia, and Panacea, and I take to witness all the gods, all the goddesses, to keep according to my ability and my judgment, the following Oath and agreement:
  2. To consider dear to me, as my parents, him who taught me this art; to live in common with him and, if necessary, to share my goods with him; To look upon his children as my own brothers, to teach them this art; and that by my teaching, I will impart a knowledge of this art to my own sons, and to my teacher's sons, and to disciples bound by an indenture and oath according to the medical laws, and no others.
  3. I will prescribe regimens for the good of my patients according to my ability and my judgment and never do harm to anyone.
  4. I will give no deadly medicine to any one if asked, nor suggest any such counsel; and similarly I will not give a woman a pessary to cause an abortion.
  5. But I will preserve the purity of my life and my arts.
  6. I will not cut for stone, even for patients in whom the disease is manifest; I will leave this operation to be performed by practitioners, specialists in this art.
  7. In every house where I come I will enter only for the good of my patients, keeping myself far from all intentional ill-doing and all seduction and especially from the pleasures of love with women or men, be they free or slaves.
  8. All that may come to my knowledge in the exercise of my profession or in daily commerce with men, which ought not to be spread abroad, I will keep secret and will never reveal.
  9. If I keep this oath faithfully, may I enjoy my life and practice my art, respected by all humanity and in all times; but if I swerve from it or violate it, may the reverse be my life.

Hippocrates of Kos

Hippocrates was born on the island of Kos probably around 460 B.C. He is often called the "father of medicine", as he founded what was at the time a truly novel practice through the introduction of groundbreaking methodology and a code of ethics. He became famous from the start of his career and throughout nearly twenty five centuries his influence was to medical thinking what Aristotle's was to philosophy.

Having learned medicine from his father Heraclides who was a physician-priest at the Asclepeion of Kos, he later studied at the Knidian school of medicine, but refused to adopt their theories. He was renown for his pragmatic approach to medicine. He separated the discipline of medicine from religion, and relied on clinical signs and logical conclusions to identify and treat sickness.

Hippocrates Kos Greece
Hippocrates, engraving by Peter Paul Rubens, 1638.
Courtesy of the 
National Library of Medicine
"Men believe only that it is a divine disease because of their ignorance and amazement." (The Sacred Disease).

He founded the Hippocratic school of medicine (around 430 B.C.) and established medicine as a distinct discipline, thereby creating the medical profession. Many documents, including the Hippocratic Oath and a collection of around 60 works in Greek referred to since ancient times as the Hippocratic Corpus are attributed to Hippocrates and his disciples.  The contents are so varied that historians believe that they constitute the remains of a collection of books from a library in Kos or Alexandria. In truth, only a fraction of the Hippocratic works have survived as witnessed by references in existing treatises while many only exist in their translation in Hebrew, Syriac, Arabic or Latin.

Two distinct schools of Medicine actually opposed each other in those times. While the Hippocratic school adopted more of a generalist approach focusing mainly on the patient as a coherent integrated whole, the Knidian school concentrated on specific areas and organs of the body, seeking to identify and classify the different kinds of disease. The Hippocratic school was in practice more efficient with its general diagnosis and its passive treatments thereby gaining the upper hand in the debate between the two sides. 

Hippocrates was influenced by the Pythagorean theory whereby Nature is a combination of four elements (water, earth, wind and fire) and by applying this concept to medicine he conceived the  four humors (blood, phlegm, yellow bile and black bile). Health is a state due to the harmonious coexistence of the four humors while any disharmony or imbalance would be the cause of a disease. 

Hippocrates was a strong proponent of strengthening one's body in order to bolster its resistance levels. He also insisted on strict dietary measures in dealing with illness. By establishing this holistic approach he was led to concentrate on the patient rather than the disease.

Herbs and healing plants were studied systematically (around 380 can be found in the Hippocratic Corpus including thyme, sage, mint, fennel, garlic...) and were prescribed to reestablish the equilibrium between the humors. 

Hippocrates acknowledged the need for professionalism and discipline in the exercise of the medical profession. He encouraged the recording of medicinal methods and findings (what we now call "clinical observations") in a clear and objective manner, in order to aid fellow physicians in their diagnosis and their forecast of the evolution of the disease. He took regular note of many symptoms including complexion, pulse, fever, pains, movement and excretions. A number of  medical conditions were first described by Hippocrates and his disciples, such as the clubbing of the fingers (often referred to as "Hippocratic fingers") as well as a number of lung diseases and ailments of the rectum.

Hippocrates taught and practiced medicine throughout his life, traveled to many places, and exchanged ideas with other schools of thought. He reputedly lectured his students under the plane tree which is currently in Lotzia square in Kos Town. He died at a ripe old age in the town of Larissa in Thessaly around 370 B.C.

Even though his work in the field of medicine has in some respects become obsolete, his contribution to scientific progress has been monumental.
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